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11 Fruits can you Eat Safely in a Ketogenic Diet – Cool …

Posted: February 2, 2019 at 9:41 am

Lemme start with a disclaimer.

I am no nutritionist. I just love the ketogenic diet. So, whatever I am stating is purely based on the research I have done.

When I started with the keto diet I was surprised that so many fruits are being taken out of the list. I really could not understand, why?

I am a fruit lover and relish just any kind of fruits. So it was hard for me to omit a certain bunch.

I love oranges and watermelons so I know how hard it was for me to give it up.

Fruits are definitely good while you are on a regular diet for the nutritional values.

But many fruits contain fructose in high amount andFructose is a BIG NO for keto.

The high fructose level in fruits gets metabolized in the liver which in turn turns into fat. This fat deposits around the abdomen (which is really hard to get off).

So the fruits which contain a high amount of fructose or sucrose leads to high carb diet and hence omitted from keto list.

So check out the fruits which you can happily gulp down while in a keto.

Blackberries are reasonably low in carbohydrates. It contains only 4.9 grams of carbs per 100 gms.

Not only it is tasty but I like the blackberries more for its medicinal values.

Blackberries lower the blood glucose level and hence leads to a better cholesterol profile. It also provides the antimicrobial and antidiabetic effect.

Blackberries also reduce inflammation. This is where your stomach and waist starts to shrink ( Keto effect ) So,happily include it in a keto diet.

I love this fruit.

Really delicious and full of nutrients. And what I like most about it is, instead of being sweet and juicy, this fruit is quite low in carbs.

The loveliest part of strawberries is that I can make several keto desserts with it. Especially strawberry dipped in chocolate. Just too yummy for a keto diet.

You know, strawberries even protect our health with the bio-active compounds. It also improves our blood sugar levels.

Strawberry contains only 5.7 grams of carb per 100 gm.

Should I start with its carb content? Its only 1.8 grams of carbs for per 100 gm of avocado.

They are just amazing.

It is so delicious and can be combined with any type of keto salads.

It provides with many essential fats that are just perfect for a keto diet.

This fruit also comes with a large number of vitamins and minerals and improves our cardiovascular health.

Have you checked the keto recipes? You will find coconut in ample recipes. Whether its coconut milk or coconut creamed bars. Oh, I just love these bars. In fact, I like almost all the keto desserts.

There are other coconut items too like:

They are very useful in making low carb snacks as they themselves contain only 6.25 carbs per 100 gm.

Coconut contains a fairly large amount of medium chain triglycerides which are used by the body to produce instant energy.

Can you believe it that olives have only 1 gm of carbs for per 100 gm?

Yes, olive is one of the best low carb fruits available.

Not only it contains a high amount of good fat (You know how much fat is necessary for keto diet) but it also reduces the risk of cardiovascular diseases.

I love to put a good amount of olive pieces on my keto pizza.

Oh forgot to add that olives improve our bone health too. Yes, it is a win-win from every angle.

Lemons are just so common to use in any of the dishes. Not only it brings the tangy taste but lemons are loaded with hell amount of benefits too.

100 gms of lemon gives only 6 gm of carbs.

This tasty fruit has the highest amount of antioxidants and serves 5.4 grams of carbs per 100 gm of it.

I love to mix the raspberries with some buttercream. It tastes amazing and serves as a quick keto dessert.

This is a fruit which can be a bit tough to consume raw. It is sour.

So you can half dry it in the sun with sprinkles of salt over it.

But the benefits are innumerable.

Gooseberries are well known for its positive effect on skin and hair.

It also contains anticancer properties.

I can tell you about the endless benefits of this fruit but when it comes to keto then it is carb and sugar content that matters.

Gooseberries serve 5.9 grams of carbs per 100 gm. Quite reasonable.

Tomatoes and fruits? Well yes, it is.

Now tomato is a fruit which you can put in any recipes to bring the tangy taste. So when you are mixing it with other vegetables then our mind holds a perception that tomato is also a vegetable.

Even the tomato sauces are widely used.

Tomatoes also contain micronutrients and vitamins which improve our health condition.

It serves only 2.7 grams of carbs per 100 gm of it.

Starfruit is a delicious tropical fruit which is rich in vitamin C.

I love its crunchy yet juicy pulp.

It also carries a small amount of minerals and electrolytes. And yes starfruit is rich in antioxidants too.

It serves 4.2 of net carbs per 100 g

Lime and lemon are often confused with each other.

The difference between them is that lime has a higher concentration of vitamin C and other antioxidants.

It provides a net carb of 8.2 g per 100 g.

Though the carb content is a bit higher, limes keep your arteries cleaner and thus aids in better blood flow.

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11 Fruits can you Eat Safely in a Ketogenic Diet - Cool ...

Ayurvedic Home Remedies For Weight Loss – Pitta Ayurveda

Posted: January 31, 2019 at 8:41 pm

Among the alternate medicine systems that available, Ayurveda seem to be the one that got fastest growing around the world. Ayurveda medicine is originated from India and is current growing fast in western world. Ayurveda medicine did offers a lot health benefits for people will going through with the treatments like meditation, massage, diet, and herbs remedies. Besides, Ayurveda can assist someone to lose weight as well. The fact is, many people have adopted Ayurvedic practices and managed to lose significant weight, and at the same time also received a restoration of peace and balance of their body and mind.

With the use of Ayurvedic medicines for weight loss, it involves different types of herbs that can help to burn fat of a person and rebuild the natural metabolic process of the body.

1. Gymnema

This is an Ayurvedic type of herbs that is regarded as the destroyer of sugar. Gymnema got its name due to thousand years ago, Ayurvedic practitioners have been discovered that chewing a few of these leaves can effectively reduce the taste of sugar. Nowadays, it is widely used in India as well as many other countries that have Ayurveda medicine practices. Gymnema is mainly being used for suppressing blood sugar levels.

2. Guggul

This herb is a highly effective resin extract which you can get from the tiny, thorny mukul myrrh tree. It is well-known as the Fat Killer. Guggul is a great herb in Ayurveda due to it can remove extra fat from the body, boost cellular flame, support liver function and control cholesterol at healthy level. The herb isnt a nutritive tonic by itself, however, it assists in catalyze tissue regrowth and grows white blood cells. Besides, it can stabilized the conditions of ailments including gout, arthritis, diabetes, nervous disorders, skin disease, and help for weight loss.

3. Ginger (Zingiber Officinale)

Many Ayurveda physicians believe Ginger can help in losing weight without any side effects. This is due to ginger is rich with photochemical that can controls oxidation of fatty acids and regulate metabolism of cholesterol. It suppresses the accumulation of fat and controls the level of cholesterol in the blood.

For those overweight people, they can only reduce their weight if they can treat the root causes for their obesity and weight gain. Here is the Ayurveda way that can help a person to lose weight by follow the diet plan that targeted on the root causes of obesity.

Step 1: Identify Ayurveda body type. Knowing what dosha a person possess either is Vata, Pitta or Kapha. ( You can take this Ayurveda Test to know your dosha type)

Step 2: Arrange a treatment plan according to the Ayurveda body type of the person to get rid of extra fat, toxins and imbalances.

Step 3: Prepare Ayurvedic weight loss diet as well as daily routine for a person to stick to.

Step 4: Improve digestion to lose fat and weight through correct exercises.

Early morningChop a lemon into half, make it a juice, take a teaspoon of honey and mixed in a glass of warm water. Stir it and drink.

Breakfast Taking mung bean sprouts or wheat together with a glass of skimmed milk.

MidmorningCan either take a glass of pineapple, orange, or carrot juice.

Lunch Taking raw vegetables or salad that includes beet, carrot, cabbage, cucumber, and tomatoes. Boiled or steamed the raw vegetables. Eating together with wholegrain bread and a glass of buttermilk. Besides, you can also eat green coriander leaves, roasted cumin seeds, some grated ginger mixed in the milk and a little salt.

Mid-afternoon Dry fruits, coconut water, fresh and organic vegetable soup, lemon tea, ginger tea.

DinnerSteamed vegetables, wholegrain bread, seasonal fruits(except apple and banana).

You can actually find some great herbs when you are looking for herbal remedies for abdominal. There are a lot of herbal treatments happen to be incredibly effective to reduce the fat of your abdominal without side effects. Among the herbs, there are 3 that very commonly being use for such treatment which are lemon balm, alfalfa and calendula.

Panchakarma is the ancient Ayurvedic remedies for detoxification and cleansing. with the complements of Ayurvedas healing therapies to rebuild your mind, soul, and body, it will help you to reduce your weight to your desired level.

You will need a weight loss chart to help you to reduce weight. You will want to keep track of your weight and your progress while you are into a weight loss program. This chart is incredibly useful since it could aid you to trace your weight weekly or monthly. Most of the charts are simple enough to make but if you dont know how to make one, you can download it from here.

Many people are looking for quick fixes of obesity treatment in Ayurveda, and some have went to subscribe for Shathayu program. However, there are quite a few negative feedbacks received from those who went for the treatment packages. If you want to read more on Shathayu Ayurveda weight loss reviews, you may check out this:

Shathayu Ayurveda JP Nagar Bangalore reviews

For people who wish to get pills or supplement products to reduce fat, they must get the right products. For using drying herbs, they need to be done separately. If you want to mix it with other herbs, you will need to do it in the right way. The resulting mixed herbs need to be portioned in equal mix amounts as per the recipe. Most of the Ayurveda herb tablets are produced from powdered ingredients together with the mixture of decoctions, fruit juices, or water.

You may get the Ayurveda weight loss pills here:

With that said, Ayurveda is an excellent solution for people who want to reduce their weight. You are able to do it naturally and benefits for weight loss and gaining healthy body at the same time. Besides, you will find you are becoming very energetic and vitality too. You may absolutely want to try them out and stick to the diet that suggested above.

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Ayurvedic Home Remedies For Weight Loss - Pitta Ayurveda

Foods You Can Safely Eat Past The Due Dates | ActiveBeat

Posted: January 29, 2019 at 6:43 am

By: kgeorge onSunday, January 27th

Weve all done itdrank from a questionable carton of milk, mowed down on the remains of old yogurt, and even dared cook meat that had been in the freezer for a few months (well six to be exact).

Youre not alone and not necessarily wrong to try to salvage food instead of throwing it away when its expired its best before date. We live in a world where there is so much food wasted, and a lot of it is prematurely thrown away! While we tend to exercise the phrase better safe than sorry when it comes to food spoilage, there are some foods that can be eaten past their expiry date. These dates are just given to let consumers know when they are at their peak quality and freshness, and sometimes there is a little bit of leeway between that date and their real expiration. Heres a list of foods that even food experts admit we can consume safely past the expiry date on their packaging

With the amount of chemicals and beverage additives in carbonated drinks, it shouldnt surprise you that they are formulated to last a really, really long time. Just to give you a perspective of the shelf life, food scientists estimate that diet soda is good for up to 4 months past its shelf life expiry date, while soda with regular sugar content can safely be consumed up to 9 months after its listed expiration date.

If you pop open a can of soda thats been sitting around for a while, your own senses and good judgment will serve you well in determining whether or not it is still good. You should pour old pop into a glass and observe its character and consistency before drinking it; if it no longer fizzes up, or if it appears watery and there arent any bubbles, dont consume it. There are some health risks associated with drinking expired soft drinks.

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Foods You Can Safely Eat Past The Due Dates | ActiveBeat

Food and Diet – CNN

Posted: January 29, 2019 at 6:43 am

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Doo Dah Parade 2003 – Lard of the Land

Posted: January 29, 2019 at 6:42 am

ramalama_22 posted a photo:

Doo Dah Parade 2003 - Lard of the Land

Invasion of the Lard Lads

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Doo Dah Parade 2003 - Lard of the Land

Why Diets Don’t Work in The Long Term Calories Part VII

Posted: January 29, 2019 at 6:42 am

Click here for Calories Part I, Part II, Part III, Part IV, Part V, and Part VI.

We have explored the bodys adaptation to reducing calories and weight and seen how the body acts more like a thermostat than a scale. The body acts as though it has a Body Set Weight (BSW) and strives vigorously to defend that weight against increase or decrease alike.

But how long do these adaptations last? If we maintain a certain body weight, will our body eventually recognize this as a new BSW? Certainly at first glance, this seems like a reasonable assumption. But is it true?

Reduce Energy Expenditure

Lets look at some recent studies to answer this important question.

Long-term persistence of adaptive thermogenesis in subjects who have maintained a reduced body weight by Dr. Rosenbaum et al.

In this study, 21 subjects were recruited and fed a liquid diet consisting of 45% carbohydrates over one year and the Total Energy Expenditure (TEE) were measured. As expected, during the initial weight loss phase (10% of body weight) TEE was reduced. As weight went down, the body tries to regain the weight by reducing TEE. In essence, the body is defending the BSW and trying to return to the original weight. But how long does this last?

What is interesting is that TEE is reduced over the course of the full year. Even after one year at the new, lower body weight, the TEE was still reduced by an average of almost 500 calories/day. (see figure on right)

In other words, this reduction in TEE starts almost immediately after caloric reduction and persists for a long time at least 1 year and going strong. It does not appear that this BSW has been changed at all. There is no sign that BSW has changed.

The body is still trying to get back to the original BSW. Remember that this weight loss is achieved with no change in the composition of the diet only the amount (a portion control strategy).

Lets put this into dietary terms. We start by eating 2,000 cal/day and burning 2,000 cal/day. We decide to lose some weight and reduce our calories to 1,500 cal/day. Our body almost immediately reduces TEE to 1,500 cal/day.

We lose some weight but then the weight loss stops even though we are still eating less than before. Because TEE has been reduced, we feel cold, tired, hungry and a bit miserable but we decide to stick it out thinking that things must improve. However, even after 1 year, things are exactly the same. We feel lousy and the weight is not coming off despite our best efforts to eat only 1,500 cal/day.

Finally, we think that we should go back to a normal diet 2,000 cal/day. The weight comes rushing back because now we are eating 2,000 calories/day and expending only 1,500. Sound familiar? Thought so Thats because everything Im describing here has been well described over the last 100 years!This actually starts to make a bit of sense. Suppose we are the manager of a power plant. Every day, we receive 2,000 tonnes of coal and we burn 2,000 tonnes of coal. We also maintain a supply of coal just in case we dont have enough (storage shed). Now, all of a sudden, we start getting only 1,500 tonnes of coal.

What do you imagine that we should do? If we keep on burning 2,000 tonnes of coal, we would quickly burn through our stores of coal and then our power plant would be shut down. Massive blackout over the entire city. Anarchy and looting commence.

Our boss would tell us how utterly stupid we are and say something like Your ass is FIRED! The problem, of course, is that he is entirely correct in his assessment.

Because we, as the manager of this power plant, are not that stupid would not do that. As soon as we figured out that we were only getting 1,500 tonnes of coal, we would reduce our power output to 1,500 of coal. In fact, we might use only 1,400 tonnes just in case. A few lights go out, but there is no blackout. Anarchy and looting avoided. Boss says Great job. Youre not as stupid as you look. Raises all around

Now, lets think about our body. We eat 2,000 calories/day and use 2,000 calories/day. We start a diet so now we are eating only 1,500 calories/day. What happens? Well, the body is not that stupid. It does not want to die. Why do we assume the Mother Nature is a complete moron? The very first thing we do is reduce our TEE to 1,500 calories/day and maintain that for as long as it takes.

We know for a fact that this is what happens. It has been proven over and over again. We just keep not believing it and hoping that our caloric reduction strategy somehow, this time, will work. It wont. Face it. We only believe it because the nutritional authorities keep tell us it works. It doesnt.

Mother Nature is not stupid. Thats why conventional calorie reduced diets dont work in the long term.

Continue to Calories part VIIIhere

Begin here with Calories I

Click here to watch the entire lecture: The Aetiology of Obesity 1/6 A New Hope

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Why Diets Don't Work in The Long Term Calories Part VII

A Harvard expert shares his thoughts on testosterone …

Posted: January 29, 2019 at 6:42 am

An interview with Abraham Morgentaler, M.D.

It could be said that testosterone is what makes men, men. It gives them their characteristic deep voices, large muscles, and facial and body hair, distinguishing them from women. It stimulates the growth of the genitals at puberty, plays a role in sperm production, fuels libido, and contributes to normal erections. It also fosters the production of red blood cells, boosts mood, and aids cognition.

Over time, the testicular machinery that makes testosterone gradually becomes less effective, and testosterone levels start to fall, by about 1% a year, beginning in the 40s. As men get into their 50s, 60s, and beyond, they may start to have signs and symptoms of low testosterone such as lower sex drive and sense of vitality, erectile dysfunction, decreased energy, reduced muscle mass and bone density, and anemia. Taken together, these signs and symptoms are often called hypogonadism (hypo meaning low functioning and gonadism referring to the testicles). Researchers estimate that the condition affects anywhere from two to six million men in the United States. Yet it is an underdiagnosed problem, with only about 5% of those affected receiving treatment.

Studies have shown that testosterone-replacement therapy may offer a wide range of benefits for men with hypogonadism, including improved libido, mood, cognition, muscle mass, bone density, and red blood cell production. But little consensus exists on what constitutes low testosterone, when testosterone supplementation makes sense, or what risks patients face. Much of the current debate focuses on the long-held belief that testosterone may stimulate prostate cancer.

Dr. Abraham Morgentaler, an associate professor of surgery at Harvard Medical School and the director of Mens Health Boston, specializes in treating prostate diseases and male sexual and reproductive difficulties. He has developed particular expertise in treating low testosterone levels. In this interview, Dr. Morgentaler shares his views on current controversies, the treatment strategies he uses with his own patients, and why he thinks experts should reconsider the possible link between testosterone-replacement therapy and prostate cancer.

What signs and symptoms of low testosterone prompt the average man to see a doctor?

As a urologist, I tend to see men because they have sexual complaints. The primary hallmark of low testosterone is low sexual desire or libido, but another can be erectile dysfunction, and any man who complains of erectile dysfunction should get his testosterone level checked. Men may experience other symptoms, such as more difficulty achieving an orgasm, less-intense orgasms, a smaller amount of fluid from ejaculation, and a feeling of numbness in the penis when they see or experience something that would normally be arousing.

The more of these symptoms there are, the more likely it is that a man has low testosterone. Many physicians tend to dismiss these soft symptoms as a normal part of aging, but they are often treatable and reversible by normalizing testosterone levels.

Arent those the same symptoms that men have when theyre treated for benign prostatic hyperplasia, or BPH?

Not exactly. There are a number of drugs that may lessen sex drive, including the BPH drugs finasteride (Proscar) and dutasteride (Avodart). Those drugs can also decrease the amount of the ejaculatory fluid, no question. But a reduction in orgasm intensity usually does not go along with treatment for BPH. Erectile dysfunction does not usually go along with it either, though certainly if somebody has less sex drive or less interest, its more of a challenge to get a good erection.

How do you determine whether a man is a candidate for testosterone-replacement therapy?

There are two ways that we determine whether somebody has low testosterone. One is a blood test and the other is by characteristic symptoms and signs, and the correlation between those two methods is far from perfect. Generally men with the lowest testosterone have the most symptoms and men with highest testosterone have the least. But there are some men who have low levels of testosterone in their blood and have no symptoms.

Looking purely at the biochemical numbers, The Endocrine Society* considers low testosterone to be a total testosterone level of less than 300 ng/dl, and I think thats a reasonable guide. But no one quite agrees on a number. Its not like diabetes, where if your fasting glucose is above a certain level, theyll say, Okay, youve got it. With testosterone, that break point is not quite as clear.

Is total testosterone the right thing to be measuring? Or should we be measuring something else?

Well, this is another area of confusion and great debate, but I dont think its as confusing as it appears to be in the literature. When most doctors learned about testosterone in medical school, they learned about total testosterone, or all the testosterone in the body. But about half of the testosterone thats circulating in the bloodstream is not available to the cells. Its tightly bound to a carrier molecule called sex hormonebinding globulin, which we abbreviate as SHBG.

The biologically available part of total testosterone is called free testosterone, and its readily available to the cells. Almost every lab has a blood test to measure free testosterone. Even though its only a small fraction of the total, the free testosterone level is a pretty good indicator of low testosterone. Its not perfect, but the correlation is greater than with total testosterone.

This professional organization recommends testosterone therapy for men who have both

Therapy is not recommended for men who have

Do time of day, diet, or other factors affect testosterone levels?

For years, the recommendation has been to get a testosterone value early in the morning because levels start to drop after 10 or 11 a.m. But the data behind that recommendation were drawn from healthy young men. Two recent studies showed little change in blood testosterone levels in men 40 and older over the course of the day. One reported no change in average testosterone until after 2 p.m. Between 2 and 6 p.m., it went down by 13%, a modest amount, and probably not enough to influence diagnosis. Most guidelines still say its important to do the test in the morning, but for men 40 and above, it probably doesnt matter much, as long as they get their blood drawn before 5 or 6 p.m.

There are some very interesting findings about diet. For example, it appears that individuals who have a diet low in protein have lower testosterone levels than men who consume more protein. But diet hasnt been studied thoroughly enough to make any clear recommendations.

In this article, testosterone-replacement therapy refers to the treatment of hypogonadism with exogenous testosterone testosterone that is manufactured outside the body. Depending on the formulation, treatment can cause skin irritation, breast enlargement and tenderness, sleep apnea, acne, reduced sperm count, increased red blood cell count, and other side effects.

Preliminary research has shown that clomiphene citrate (Clomid), a drug generally prescribed to stimulate ovulation in women struggling with infertility, can foster the production of natural testosterone, termed endogenous testosterone, in men. In a recent prospective study, 36 hypogonadal men took a daily dose of clomiphene citrate for at least three months. Within four to six weeks, all of the men had heightened levels of testosterone; none reported any side effects during the year they were followed.

Because clomiphene citrate is not approved by the FDA for use in men, little information exists about the long-term effects of taking it (including the risk of developing prostate cancer) or whether it is more effective at boosting testosterone than exogenous formulations. But unlike exogenous testosterone, clomiphene citrate preserves and possibly enhances sperm production. That makes drugs like clomiphene citrate one of only a few choices for men with low testosterone who want to father children.

What forms of testosterone-replacement therapy are available?*

The oldest form is an injection, which we still use because its inexpensive and because we reliably get good testosterone levels in nearly everybody. The disadvantage is that a man needs to come in every few weeks to get a shot. A roller-coaster effect can also occur as blood testosterone levels peak and then return to baseline. [See Exogenous vs. endogenous testosterone, above.]

Topical therapies help maintain a more uniform level of blood testosterone. The first form of topical therapy was a patch, but it has a very high rate of skin irritation. In one study, as many as 40% of men who used the patch developed a red area on their skin. That limits its use.

The most commonly used testosterone preparation in the United States and the one I start almost everyone off with is a topical gel. There are two brands: AndroGel and Testim. The gel comes in miniature tubes or in a special dispenser, and you rub it on your shoulders or upper arms once a day. Based on my experience, it tends to be absorbed to good levels in about 80% to 85% of men, but that leaves a substantial number who dont absorb enough for it to have a positive effect. [For specifics on various formulations, see table below.]

Are there any drawbacks to using gels? How long does it take for them to work?

Men who start using the gels have to come back in to have their testosterone levels measured again to make sure theyre absorbing the right amount. Our target is the mid to upper range of normal, which usually means around 500 to 600 ng/dl. The concentration of testosterone in the blood actually goes up quite quickly, within a few doses. I usually measure it after two weeks, though symptoms may not change for a month or two.

What about pills?

There are pills in the United States for testosterone supplementation, but their use is strongly discouraged because they cause significant liver toxicity. A safe oral formulation called testosterone undecanoate is available in Canada and in Europe, but not in the United States. Whats quite exciting is that an injectable version of testosterone undecanoate (Nebido) was submitted to the FDA for approval in August 2007. (Its already approved in many other countries.) It lasts for 12 weeks, so a patient could come in and get a shot about four times a year. [Editors note: In December 2009, the brand name of the drug in the United States was changed to Aveed. As of January 2011, it was still awaiting FDA approval.]

Cherrier MM, Asthana MD, Plymate S, et al. Testosterone Supplementation Improves Spatial and Verbal Memory in Healthy Older Men. Neurology 2001;57:8088. PMID: 11445632.

Isidori AM, Giannetta E, Greco EA, et al. Effects of Testosterone on Body Composition, Bone Metabolism and Serum Lipid Profile in Middle-aged Men: A Meta-analysis. Clinical Endocrinology 2005;63:28093. PMID:16117815.

Liu PY, Swerdloff RS, Veldhuis JD. Clinical Review 171: The Rationale, Efficacy and Safety of Androgen Therapy in Older Men: Future Research and Current Practice Recommendations. Journal of Clinical Endocrinology and Metabolism 2004; 89:478996. PMID: 15472164.

Moffat SD, Zonderman AB, Metter EJ, et al. Longitudinal Assessment of Serum Free Testosterone Concentration Predicts Memory Performance and Cognitive Status in Elderly Men. Journal of Clinical Endocrinology and Metabolism 2002;87:50017. PMID: 12414864.

Wang C, Cunningham G, Dobs A, et al. Long-term Testosterone Gel (AndroGel) Treatment Maintains Beneficial Effects on Sexual Function and Mood, Lean and Fat Mass, and Bone Mineral Density in Hypogonadal Men. Journal of Clinical Endocrinology and Metabolism 2004;89:208598. PMID: 15126525.

Other than improvement in sexual symptoms, what are some of the potential benefits of testosterone-replacement therapy?

Some studies have looked at testosterone therapy and cognition. Although the findings werent definitive, there was some evidence of cognitive improvement. Other studies have shown that it improves mood. Testosterone therapy has also been shown to be effective in the treatment of osteoporosis and in increasing muscle bulk and strength. [See Testosterones impact on brain, bone, and muscle, above.]

What risks do you consider when prescribing testosterone-replacement therapy?

When patients ask about risks, I remind them that they already have testosterone in their system and that the goal of testosterone treatment is to restore its concentration back to what it was 10 or 15 years previously. And the molecule itself that we give is identical to the one that their bodies make naturally, so in theory, everything should be hunky-dory. But in practice, there are always some curveballs.

For example, testosterone can increase the hematocrit, the percentage of red blood cells in the bloodstream. If the hematocrit goes up too high, we worry about the blood becoming too viscous or thick, possibly predisposing someone to stroke or clotting events. Although, frankly, in a review that I wrote in the New England Journal of Medicine* where we reviewed as much of this as we could, we found no cases of stroke or severe clotting related to testosterone therapy. Nevertheless, the risk exists, so we want to be careful about giving testosterone to men who already have a high hematocrit, such as those with chronic obstructive pulmonary disease, or those who have a red-blood-cell disorder.

Although its rare to see swelling caused by fluid retention, physicians need to be careful when prescribing testosterone to men with compromised kidney or liver function, or some degree of congestive heart failure. It can also increase the oiliness of the skin, so that some men get acne or pimples, but thats quite uncommon, as are sleep apnea and gynecomastia (breast enlargement).

What about the risk of developing prostate cancer?

I think that the biggest hurdle for most physicians prescribing testosterone is the fear that theyre going to promote prostate cancer. [See Incongruous findings, below.] Thats because more than six decades ago, it was shown that if you lowered testosterone in men whose prostate cancer had metastasized, their condition improved. (It became a standard therapy that we still use today for men with advanced prostate cancer. We call it androgen deprivation or androgen-suppressive therapy.) The thinking became that if lowering testosterone makes prostate cancer disappear, at least for a while, then raising it must make prostate cancer grow. But even though its been a widely held belief for six decades, no one has found any additional evidence to support the theory.

Havent there been any studies that follow men who go on testosterone-replacement therapy to see what their rate of cancer is compared with that in men who are not on it?

As with a number of treatments or medicines that have been around for a long, long time, it hasnt been scrutinized like a new drug would be. And although theyve been discussed, there arent any large-scale, randomized controlled clinical trials of testosterone-replacement therapy under way. [See A male equivalent to the Womens Health Initiative? below.]

There have been a number of smaller studies on men receiving testosterone-replacement therapy, and if you look at the results cumulatively, the rate of prostate cancer in these men was about 1% per year. If you look at men who show up for prostate cancer screening, same sort of age population, the rate tends to be about the same. You have to be cautious in comparing studies and combining the results, but theres no signal in these results that testosterone-replacement therapy creates an unexpectedly high rate of prostate cancer.

We also have epidemiologic studies, like the Physicians Health Study, the Baltimore Longitudinal Study of Aging, and the Massachusetts Male Aging Study, that include tens of thousands of men who are followed for 5, 10, 15, or even 20 years. At the end of the study period, the researchers see who developed prostate cancer and who didnt. They can then look at blood samples taken at the start of the study to see if, for example, the group that got prostate cancer had a higher level of testosterone over all. About 500,000 men have been entered in some 20 trials of this type around the world. Not one of those studies has shown a definitive correlation between prostate cancer and total testosterone. Three or four have shown weak associations, but none of those have been confirmed in subsequent studies.

Another point Id like to make for people worried about a link between high testosterone and prostate cancer is that it just doesnt make sense. Prostate cancer becomes more prevalent in men as they age, and thats also when their testosterone levels decline. We almost never see it in men in their peak testosterone years, in their 20s for instance. We know from autopsy studies that 8% of men in their 20s already have tiny prostate cancers, so if testosterone really made prostate cancer grow so rapidly we used to talk about it like it was pouring gasoline on a fire we should see some appreciable rate of prostate cancer in men in their 20s. We dont. So, Im no longer worried that giving testosterone to men will make their hidden cancer grow, because Im convinced that it doesnt happen.

Can testosterone worsen BPH?

The evidence shows that testosterone treatment does not change the strength or rate of urine flow, does not change the ability to empty the bladder, and does not change other symptoms such as frequency or urgency of urination, as assessed by the American Urological Association Symptom Score or the International Prostate Symptom Score. Ive had a couple of patients over the years who had some worsening of urinary symptoms with testosterone, but thats rare, even with long-term use.

Studies have come to conflicting conclusions about whether high levels of testosterone increase the risk of developing prostate cancer. A sampling of studies that have helped drive the controversy follows.

Increases in cancer risk

Parsons JK, Carter HB, Platz EA, et al. Serum Testosterone and the Risk of Prostate Cancer: Potential Implications for Testosterone Therapy. Cancer Epidemiology, Biomarkers, and Prevention 2005;14:225760. PMID: 16172240.

Shaneyfelt T, Husein R, Bubley G, et al. Hormonal Predictors of Prostate Cancer: A Meta-Analysis. Journal of Clinical Oncology 2000;18:84753. PMID: 10673527.

No effect or decreases in cancer risk

Eaton NE, Reeves GK, Appleby PB, et al. Endogenous Sex Hormones and Prostate Cancer: A Quantitative Review of Prospective Studies. British Journal of Cancer 1999;80:93034. PMID: 10362098.

Mohr BA, Feldman HA, Kalish LA, et al. Are Serum Hormones Associated with the Risk of Prostate Cancer? Prospective Results from the Massachusetts Male Aging Study. Urology 2001;57:93035. PMID: 11337297.

Morgentaler A. Testosterone and Prostate Cancer: An Historical Perspective on a Modern Myth. European Urology 2006;50:93539. PMID: 16875775.

Mixed findings

Slater S, Oliver RT. Testosterone: Its Role in the Development of Prostate Cancer and Potential Risks from Use as Hormone Replacement Therapy. Drugs and Aging 2000;17:43139. PMID: 11200304.

Whats your strategy for the concomitant administration of erectile dysfunction drugs?

My preference is to start men on testosterone, for a couple of reasons. First, if a man has successful return of his own erections, its like a home run for him. He doesnt have to take a pill in anticipation of having sex. He can have sex whenever he wants. Second, the benefits of testosterone-replacement therapy often go way beyond erectile dysfunction. That may be what brought the patient into the office originally, but then he comes back saying how much better he feels in general, how much more energetic and motivated he is, how his drives on the golf course seem to be going farther, and how his mood is better.

But if somebody fails testosterone therapy, meaning that their erections arent any better, Ive said, Well, lets stop the testosterone and try one of the PDE5, or phosphodiesterase type 5, inhibitors sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra). A lot of patients then say, Well, actually, Id like to stay on the testosterone. True, its not helping my erections, but Im more turned on, and Im getting these other benefits. So we often continue the testosterone and add a PDE5 inhibitor.

Theres a significant failure rate of the PDE5 inhibitors for erectile dysfunction, something on the order of 25% to 50%, depending on the underlying condition. It turns out that a third of those men will have adequate erections with testosterone-replacement therapy alone and another third will have adequate erections with the pills and testosterone combined. Theres still a third who dont respond, but normalizing their testosterone level has definitely rescued many men who had failed on PDE5 inhibitors.

In 2002, the federally sponsored Womens Health Initiative (WHI) stopped its hormone replacement therapy (HRT) trial (estrogen plus progestin), which included more than 16,000 women, three years early because those taking the pills had an increased risk of developing breast cancer and blood clots, and an increased risk of suffering a stroke or heart attack than those taking a placebo. The findings ran counter to the long-held belief that HRT could preserve health and trim heart-disease risk in women.

Unlike previous studies of HRT, which had been observational in nature, the WHI was a double-blind, randomized controlled trial. The gold standard of scientific inquiry, these trials can conclusively test theories and assess cause and effect.

To date, no large, double-blind, randomized controlled studies of a link between testosterone treatment and prostate cancer have been completed. In its 2004 report, the Institute of Medicine (IOM) committee studying the need for clinical trials of testosterone-replacement therapy noted that only 31 placebo-controlled studies had been done in older men, with the largest one enrolling just 108 participants. Most of these studies lasted only six months.

The IOM report estimated that a study of whether there is an increased risk of prostate cancer in men on testosterone therapy might require following 5,000 men for three to five years. Before launching such an endeavor, the report recommended more firmly establishing the effectiveness of testosterone-replacement therapy, saying that studies of long-term risks and benefits should be conducted only after short-term efficacy has been proven. That means the male equivalent of the WHI remains far off.

Whats your thinking on performing a prostate biopsy before prescribing testosterone therapy?

I started doing prostate biopsies before putting men on testosterone therapy because the fear had always been that a hidden cancer might grow due to increased testosterone. It was also believed that low testosterone was protective. Well, we found prostate cancer in one of the first men with low testosterone we biopsied, even though his PSA level and digital rectal exam (DRE) were normal. As we did more of these, we found more and more cases, about one out of seven, despite normal DRE and normal PSA. When we had data for 77 men and the cancer rate was about the same, 14%, the Journal of the American Medical Association published our findings. At the time, that rate of prostate cancer in men with normal PSA was several times higher than anything published previously, and it approximated the risk of men who had an elevated PSA or an abnormal DRE. That was in 1996.

In a subsequent study of 345 men with normal PSA and low testosterone, we found the cancer rate was similar: 15%. And we had a large enough group to look at the impact of testosterone on cancer risk. For men whose total testosterone or free testosterone value was in the lowest third, the odds of having a positive biopsy were double the odds in the rest of the men. Thats the first evidence that low testosterone may be an independent predictor for the development of prostate cancer.

That would argue for doing a routine prostate biopsy on anyone considering testosterone-replacement therapy.

Its not universally accepted, but thats what I do. Several recent studies have shown that low testosterone is associated with higher Gleason scores, with advanced-stage prostate cancer, and, even worse, with shorter survival times. [See Low testosterone, PSA, and prostate cancer, below.]

What recommendations do you have for monitoring once testosterone therapy begins?

The general recommendation is that men 50 and older who are candidates for testosterone therapy should have a DRE and a PSA test. If either is abnormal, the man should be evaluated further for prostate cancer, which is what we do with everybody whether they have low testosterone or not. That means a biopsy. But if all of those results are normal, then we can initiate testosterone therapy. The monitoring that needs to happen for men who begin testosterone therapy is really very simple: DRE, PSA, and a blood test for hematocrit or hemoglobin, once or twice in the first year and then yearly after that, which is pretty much what we recommend for most men over age 50 anyway.

Morgentaler A, Rhoden EL. Prevalence of Prostate Cancer Among Hypogonadal Men with Prostate-Specific Antigen Levels of 4.0 ng/dL or less. Urology 2006;68:126367. PMID: 17169647.

Morgentaler A, Bruning CO 3rd, DeWolf WC. Occult Prostate Cancer in Men with Low Serum Testosterone Levels. Journal of the American Medical Association 1996;276:19046. PMID: 8968017.

Massengill JC, Sun L, Moul JW, et al. Pretreatment Total Testosterone Level Predicts Pathological Stage in Patient with Localized Prostate Cancer Treated with Radical Prostatectomy. Journal of Urology 2003;169:16705. PMID: 12686805.

Isom-Batz G, Bianco FJ Jr, Kattan MW, et al. Testosterone as a Predictor of Pathological Stage in Clinically Localized Prostate Cancer. Journal of Urology 2005;173:193537. PMID: 15879785.

What changes do you see taking place on the testosterone front over the next five years?

I think that the importance of testosterone for cardiovascular health is going to be increasingly recognized. In the past, because men die of heart attacks more often than women and men have more testosterone, the fear has been that testosterone causes heart problems. But every single study of whether testosterone is bad for the heart has been negative, and what people havent pointed out in most of those negative studies is that there may be a beneficial effect.

I think well also find out in five years that there very well may be general health benefits of having normal testosterone compared to low testosterone. There are growing data for all-cause mortality that men who have low testosterone die earlier than those who have normal testosterone. A study by the Veterans Administration reported about a year ago showed low testosterone levels were associated with a dramatically increased mortality rate. Its hard to know why that is, but I think well be focused on that in the coming years.

Any closing thoughts?

I think that low testosterone is under-recognized, its effects are greatly underappreciated, and its diagnosis isnt readily understood. This is an area that has tremendous research potential in the coming years.*

Originally published March 2009; last reviewed February 18, 2011.

Originally posted here:
A Harvard expert shares his thoughts on testosterone ...

Weight Loss with VEEP – Visual Eating and Exercise Plan

Posted: January 27, 2019 at 1:43 am

Weight Loss with VEEP - Visual Eating and Exercise Plan

The awakening is underway. Diets are over. Meal plans are obsolete. How food works is the key.

Lookcut is a consumer first resource for the mostcutting edge and truthful information for weigh loss,nutrition and longevity.

Weight loss solves nothing. You won't hear that anywhere else but here. And it's the truth. Losing weight does not stop weight gain. In fact losing weight often creates weight gain later on. There are lots of diets, lots of weight loss plans. None of them address the real problem.

The real problem is real life.

After weight loss real life goes on. Then what? Real life promotes weight gain. Real life is complex. Real life is full of stress. In real life processed food is unavoidable. Real life is filled with events and occasions where you just want to eat and not worry about your weight.

The key is knowledge. If you knew exactly what to eat at any time, or exactly what to eat to make up for overdoing it, you could control your weight.

LookCut is the home of VEEP, The Visual Eating and Exercise Plan. VEEP is not a diet. VEEP is a weight loss learning system. The longer you use VEEP, the more you learn about how to use food in real life, how to make up for overindulging, how to minimize weight gain from alcohol, how to use specific combinations of superfoods for maximum effect, how to use timing of key foods for weight loss any time you wish - in short, real life.

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This information presented in this program is for educational purposes only. This information does not replace the advice of a qualified medical professional or diagnose or treat any medical condition and should not be relied on as such. If you have any concerns or questions about your health you should always consult with a physician or other health-care professional. Do not avoid or delay obtaining medical or health related advice from your health-care professional because of something you may have read on this site or learn in this program. The use of any information provided on this site or in this program is solely at your own risk.

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Weight Loss with VEEP - Visual Eating and Exercise Plan

5 Surprisingly Easy Ways To Fast-Track Your Weight Loss

Posted: January 27, 2019 at 1:43 am

Wanna fast-track your weight loss? Forget peeking at the scale turn your attention to the fridge

Chances are you unpack your weekly grocery shopping with as much thought as you give to Sundays laundry. A triangle of Brie on the top shelf; milk in the left-hand corner with the garlic and dark chocolate. Be warned: research shows where you put your food can have a big impact on how you eat, so its time to become fridge aware. Heres how to stack and snack yourself slimmer.

READ MORE: These 3 Drinks Will Help You Lose Weight And Theyre Not Vinegar

Ever open your fridge and feel like its an out-take from TLCs Hoarding: Buried Alive? We know the feeling. What we bet you didnt know, though, is research from the Journal of Consumer Psychology found a cluttered fridge can crush your willpower. Weight-loss coach Nicky Anstey explains that in a busy fridge, the bright, attractive packaging of less healthy products distracts you from the more earthy colours of your fresh produce theres a reason McDonalds chose a red and yellow colour scheme.

Both these colours have been proven to boost your appetite, particularly red, which signals ripeness and sweetness, according to research published in the Journal of Sensory Studies. So ditch the strawberry cheesecake and replace it with red- or yellow-hued healthy snacks. Pass the peppers, please.

READ MORE: Heres How To Use Ginger To Cut Your Body Fat

Place your healthiest snacks and food with the most nutrients at eye level, says eating and behavioural therapist James Lamper. So if you get the munchies, theyll be the first thing you see when you open the fridge. According to a US study, youre 2.7 times more likely to eat healthy food if its in your line of sight. If you want to go the extra mile, store your naughty treats at the back of the fridge and the bottom of the pile. A study led by nutritional behaviour professor Dr Brian Wansink suggests the more inconvenient the location of your chocolate, the less likely you are to reach for it.

READ MORE: 3 Really Smart Ways To Stop Yourself From Eating Too Much

A study published in the Journal of Marketing found people eat larger quantities of junk food if its kept in clear packages. The same research also showed when your naughty treats are bite size, youre more likely to eat more. Our advice: buy the bowling ball of Edam rather than seductive mini cheeselings. And keep your chocolate and cheese in opaque Tupperware at the back of the fridge. Plus, if you can, make the containers blue. Studies show that blue is a common appetite suppressant.

READ MORE: The 12 Best Foods To Burn Fat And Build Lean Muscle

A healthy snack can curb hunger throughout the day and keep you fuller for longer. Try make your snacks fruit and veg and ensure theyre pre-cut that way youre more likely to munch them. After hitting the supermarket, immediately wash, cut and store. Also place that tub of pre-cut veggies next to a tub of hummus or low-kilojoule yoghurt-dill dip. Carrot sticks? Bleh. Carrot sticks and dip? Mmm, much more appealing!

READ MORE: 5 Rules That Actually Work If Youre Trying To Lose Weight

Kilojoule-conscious eating doesnt mean boring fare. Keeping an arsenal of diet-friendly flavourings inside the door of your fridge can make any meal moreish. Try mustard, low-sodium soy sauce, Tabasco and herbs like chives, thyme and rosemary. They can be loosely placed in cling film and popped in the warmest part of the fridge (one of the compartments in the door).

READ MORE ON: Weight Loss Weight Loss Tips

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5 Surprisingly Easy Ways To Fast-Track Your Weight Loss

Weight Loss: Consume These 3 Drinks Just Before Bedtime To …

Posted: January 27, 2019 at 1:43 am

Highlights

If you happen to be one of those who are struggling to shed some extra pounds, then this article is just for you. Losing weight is not an easy task - it calls for a balanced diet and proper workout regime. However, to up the pace of weight loss process, there are a few diet hacks that you can practice during bedtime. These hacks are simple yet can help you lose weight fast by increasing the body's metabolism and boosting your digestion process. According to Ayurveda Expert, Dr. Ashutosh Gautam, "In order to lose weight effectively, one should have a good digestive system."

An improved digestive system is the first step in the weight loss journey. By increasing digestive efficiency with a few dietary changes, one can effectively lose weight and boost body's metabolism. If you feel bloated most of the time, then consumption of these drinks will help you stay at ease.

Weight Loss: An improved digestive system is the first step in the weight loss journeyPhoto Credit: iStock

Cinnamon Tea

Cinnamon is loaded with various antioxidant and antibiotic properties

To make cinnamon tea, you'll need 1 cup of boiling water and 1 teaspoon of cinnamon powder. Mix them together and allow it to steep for around 20-30 minutes. Sip a cup of cinnamon tea at least half an hour before going to bed for effective results.

(Also Read -6 Amazing Benefits of Honey and Cinnamon)

Soaked Fenugreek Water

According to Dr. Ashutosh, "Fenugreek seeds facilitate weight loss to a great extent. Regular consumption of methi dana generates heat in the body and helps in managing and losing weight. It also acts as a great antacid and helps strengthen the digestive system. It should be consumed at least half an hour or one hour before bedtime." Boil the water in a container and add the crushed fenugreek seeds in it. You can crush these seeds using mortar and pestle. Cover and steep the seeds for at least three to five minutes. Strain in a cup using a regular tea strainer and reap out its benefits.

(Also Read - Fenugreek Seeds: Here's How Eating Soaked or Sprouted Methi Dana will Benefit Your Health)

Chamomile Tea

Chamomile not only stimulates weight loss, but also reduces bloating to a great extent. Loaded with calcium, potassium and flavonoids, chamomile's ability to detox the body helps in getting rid of toxins and excess water. A cup of hot chamomile tea before bedtime could help you get a restful sleep as well.

Now, that we have shared with you a list of bedtime hacks, make them a part of your daily schedule and lose weight effectively. These detox drinks can help flush out toxins from the body. With an improved digestion and good metabolism, you'll be able to lose weight fast.

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Weight Loss: Consume These 3 Drinks Just Before Bedtime To ...


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